Which of the following characteristics of accurately developed client outcomes should a nurse identify? (Select all that apply.)
1. Client outcomes are specifically formulated by nurses.
2. Client outcomes are not restricted by time frames.
3. Client outcomes are specific and measurable.
4. Client outcomes are realistically based on client capability.
5. Client outcomes are formally approved by the psychiatrist.
3, 4
Rationale: The nurse should identify that client outcomes should be specific, measurable, and realistically based on client capability. Outcomes should be derived from the diagnosis and should include a time estimate for attainment. Outcomes are most effective when formulated cooperatively by the interdisciplinary team members, the client, and significant others.
You might also like to view...
A 32-year-old female patient has a urinary tract infection. Her record reveals that she has recently been treated for anemia. The physician has indicated that drug therapy for the urinary tract infection will last more than 2 weeks
The most important nursing action will be to A) measure the urine pH and check if it is acidic. B) obtain a complete blood count to establish baseline values. C) determine whether the patient should be given medication orally or parenterally. D) measure the patient's blood pressure and heart rate.
What is the side effect of a drug?
A) Nontherapeutic effect that may be harmful to the patient. B) Requires medical intervention because it is life threatening. C) Requires lowering the dosage or discontinuing the drug. D) Occurs as a consequence of drug administration.
A patient who is having her sixth child has gone beyond term, and her labor is being induced with oxytocin [Pitocin]. The patient is having increased frequency, duration, and intensity of contractions
The nurse will interrupt the oxytocin infusion if what occurs? a. Contractions occur every 2 to 3 minutes. b. Individual contractions last 2 minutes. c. Mild to moderate pain occurs with uterine contractions. d. Resting intrauterine pressure is greater than 10 to 15 mm Hg.
Nurses must be aware of the conditions that increase the risk of hemorrhage, one of the most common complications of the puerperium. What are the conditions? Select all that apply
a. Primipara b. Rapid or prolonged labor c. Overdistention of the uterus d. Uterine fibroids e. Preeclampsia